SANDRA S LAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192031

License Status

NOT RENEWED

Business

First Name

SANDRA S

Last Name

LAKE

Business Name

SANDRA S LAKE

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1984

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/27/2006